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Strengthening implementation of diet-related non-communicable disease prevention strategies in Fiji: a qualitative policy landscape analysis.
Mounsey, Sarah; Waqa, Gade; McKenzie, Briar; Reeve, Erica; Webster, Jacqui; Bell, Colin; Thow, Anne Marie.
Afiliación
  • Mounsey S; Menzies Centre for Health Policy and Economics, Faculty of Medicine and Health, Charles Perkins Centre, The University of Sydney, City Road, Sydney, NSW, 2006, Australia. sarah.mounsey@sydney.edu.au.
  • Waqa G; Fiji National University, Suva, Fiji.
  • McKenzie B; The George Institute, City Road, Newtown, NSW, Australia.
  • Reeve E; Deakin University, Geelong, VIC, Australia.
  • Webster J; The George Institute, City Road, Newtown, NSW, Australia.
  • Bell C; School of Medicine and Global Obesity Centre, Geelong Waurn Ponds Campus, Deakin University, Melbourne, Australia.
  • Thow AM; Menzies Centre for Health Policy and Economics, Faculty of Medicine and Health, Charles Perkins Centre, The University of Sydney, City Road, Sydney, NSW, 2006, Australia.
Global Health ; 18(1): 79, 2022 09 01.
Article en En | MEDLINE | ID: mdl-36050736
BACKGROUND: Noncommunicable diseases (NCDs) are the leading cause of death globally, and the World Health Organization (WHO) has recommended a comprehensive policy package for their prevention and control. However, implementing robust, best-practice policies remains a global challenge. In Fiji, despite political commitment to reducing the health and economic costs of NCDs, prevalence of diabetes and cardiovascular disease remain the highest in the region. The objective of this study was to describe the political and policy context for preventing diet-related NCDs in Fiji and policy alignment with WHO recommendations and global targets. We used a case study methodology and conducted (1) semi-structured key informant interviews with stakeholders relevant to diet-related NCD policy in Fiji (n = 18), (2) documentary policy analysis using policy theoretical frameworks (n = 11), (3) documentary stakeholder analysis (n = 7), and (4) corporate political activity analysis of Fiji's food and beverage industry (n = 12). Data were sourced through publicly available documents on government websites, internet searches and via in-country colleagues and analysed thematically. RESULTS: Opportunities to strengthen and scale-up NCD policies in Fiji in line with WHO recommendations included (1) strengthening multisectoral policy engagement, (2) ensuring a nutrition- and health-in-all policy approach, (3) using a whole-of-society approach to tighten political action across sectors, and (4) identifying and countering food industry influence. CONCLUSION: Diet-related NCD policy in Fiji will be strengthened with clearly defined partner roles, responsibilities and accountability mechanisms, clear budget allocation and strong institutional governance structures that can support and counter industry influence. Such initiatives will be needed to reduce the NCD burden in Fiji.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedades no Transmisibles Tipo de estudio: Guideline / Qualitative_research / Risk_factors_studies Límite: Humans Idioma: En Revista: Global Health Año: 2022 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedades no Transmisibles Tipo de estudio: Guideline / Qualitative_research / Risk_factors_studies Límite: Humans Idioma: En Revista: Global Health Año: 2022 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Reino Unido